日本腎臓学会誌
Online ISSN : 1884-0728
Print ISSN : 0385-2385
ISSN-L : 0385-2385
慢性糸球体腎炎患者におけるクレアチニンクリアランス予測式の妥当性に関する検討
勝二 達也林 晃正北村 栄作岡田 倫之中西 功椿原 美治
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1993 年 35 巻 3 号 p. 287-292

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We evaluated the formulas of urine-free prediction of creatinine clearance (CCr) for clinicat use in the patients with chronic glomerulonephritis (CGN). Subjects were 246 patients with CGN diagnosed by renal biopsy with range from normal renal function to end stage renal failure. CCr were measured exactly with urine collections more than 2 times and compared with the values calculated using four urine-free mathematical formulas of Cockc roft et al, Mawer et al, Konishi et al, and Tozune et al. Strong, statistically significant correlations were observed between CCr estimated with each prediction method and measured CCr (r0. 946). However, the latter two formulas tended to overestimate the values. Predicted errors more than 20% of the formula of Cockcroft et al, were the least. And their formula was the easiest for clinical use because of the simplicity for learning by heart. We conclude that these four formulas can be used with reasonable accuracy in the patients with CGN from normal renal function to end stage renal failur, and the formula of Cockroft et al, is the most recommendable for clinical use.

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